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What Causes Pain And Tingling In Hands?

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Posted on Thu, 15 May 2014
Question: Arttached are the cervical x rays. Symptoms are pain and numbness/ tingling in hands.
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Answered by Dr. Vivek Chail (1 hour later)
Brief Answer:
Please find detailed answer below

Detailed Answer:
Hi XXXX
Thanks for writing back with an update.

The cervical spine is straightened which may suggest muscle spasm.
The alignment of cervical vertebrae is normal.
There are anterior marginal osteophytes in the C 5 vertebra (inferiorly) and C 6 vertebra (superiorly). No obvious intervertebral disc space narrowing is noted.
Rest of the cervical vertebrae are normal.
Pedicles and posterior elements are normal to the extent visualized.

The conclusion is mild cervical spondylosis with degenerative changes involving cervical vertebrae C 5 and C 6 and cervical muscle spasm.

You should not ignore numbness or tingling and I suggest that you consult a neurologist and get a MRI scan of cervical spine done if necessary. There might be disc changes, nerve root compression causing your symptoms and these are not evident on X rays.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Vivek Chail (27 minutes later)
I am only 38 years old. Are these changes normal wear and tear for my age? Also', my dr is suggesting I see a rhumetologist. If I do have an inflammatory disease, could this be causing the degeneration?
doctor
Answered by Dr. Vivek Chail (2 hours later)
Brief Answer:
Please find detailed answer below

Detailed Answer:
Hi XXXX
Thanks for writing back with an update.

These findings may be included as under normal wear and tear, a bit early though.
Seeing a rheumatologist is must but alongside the opinion of a neurologist also might be needed if your pain and tingling are worsening. Inflammatory degeneration is of many types and no age is spared from it. This degeneration can also be one among the group.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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What Causes Pain And Tingling In Hands?

Brief Answer: Please find detailed answer below Detailed Answer: Hi XXXX Thanks for writing back with an update. The cervical spine is straightened which may suggest muscle spasm. The alignment of cervical vertebrae is normal. There are anterior marginal osteophytes in the C 5 vertebra (inferiorly) and C 6 vertebra (superiorly). No obvious intervertebral disc space narrowing is noted. Rest of the cervical vertebrae are normal. Pedicles and posterior elements are normal to the extent visualized. The conclusion is mild cervical spondylosis with degenerative changes involving cervical vertebrae C 5 and C 6 and cervical muscle spasm. You should not ignore numbness or tingling and I suggest that you consult a neurologist and get a MRI scan of cervical spine done if necessary. There might be disc changes, nerve root compression causing your symptoms and these are not evident on X rays. Hope your query is answered. Do write back if you have any doubts. Regards, Dr XXXXXXX